<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Title')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-title" class="form-control" name="row[title]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Appid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-appid" class="form-control" name="row[appid]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Appsecret')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-appsecret" class="form-control" name="row[appsecret]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">健康推送模版ID:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-jktempid" class="form-control" name="row[jktempid]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">检测报告模版ID:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bgtempid" class="form-control" name="row[bgtempid]" type="text" value="">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
